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Organization

T SHAUN SUTHERLAND, DDS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TIMOTHY SUTHERLAND (OWNER)
(307) 473-1502
Entity
Organization

Contact information

Practice address
1653 E 2ND ST, CASPER, WY 82601-3001
(307) 234-6033
Mailing address
1653 E 2ND ST, CASPER, WY 82601-3001
(307) 234-6033

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
03/11/2020
Last updated
03/11/2020
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